Katherine A Tildes, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

5019008 Issued in NC

Practice address

2632 Carolina Beach Rd Ste 3
Wilmington, NC 28412-1889

Phone

(910) 794-3939

Fax

(910) 794-3938

NPI assigned

Jul 20, 2018

Last updated

Sep 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA, NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Snowy Mountain Management PLLCGroup PAC ID 6800980327, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ktildes1459760@direct.novanthealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Snowy Mountain Management PLLC

  dba Shipyard Medical Center

  • Primary Care Clinic/Center
  • Wilmington, NC
  • NPI 1306050588
  Medicare reassignment Care Compare group NPD
• Senior Health Associates, P.a.

  • Internal Medicine Physician
  • Wilmington, NC
  • NPI 1396893640
  Medicare reassignment NPD
• Perfect Health PC

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1861815300
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Novant Health New Hanover Regional Medical Center LLC

  dba Novant Health New Hanover Regional Medical Center

  • General Acute Care Hospital
  • Wilmington, NC
  • NPI 1376139139
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1871070003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 CAROLINA BEACH RD STE 3",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284121889",
            "telephone_number": "910-794-3939",
            "fax_number": "910-794-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632 CAROLINA BEACH RD STE 3",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284121889",
            "telephone_number": "910-794-3939",
            "fax_number": "910-794-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILDES",
        "first_name": "KATHERINE",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5019008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBON",
            "identifier": "359972",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tide Associates PLLC
• Tideline Psych PLLC
• Kendall Lee Tidey, LCSWA
• Lauren Maria Tiffany
• Dottie M Tighe, OTR/L
• Katy Joyner Till, BCBA
• Sarah Elizabeth Tiller, DPT
• Justin Tilley
• Cassius Tilyou, PT, DPT
• Lacey Timmerman, RBT

• Adult Health Nurse Practitioner in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.